目的　探讨门脉高压性胃病 (PHG)的临床特点及其与食管静脉曲张、肝功能分级的关系。方法　对 1999～ 2 0 0 3年诊治的 10 6例PHG进行回顾性分析。结果　PHG与食管静脉曲张程度有关 ,其严重程度与肝功能分级呈正比 ,随访期内有 76例 ( 71 7% )发生上消化道出血。结论　PHG在门脉高压上消化道出血中占有较大的比例 ,对肝硬化上消化道出血患者应鉴别是食管胃底静脉曲张还是PHG Objective To investigate the clinical features of portal hypertensive gastropathy (PHG) and its relationship with esophageal varices and liver function grading. Methods A retrospective analysis of 106 cases of PHG diagnosed and treated from 1999 to 2003. Results PHG was related to the degree of esophageal varices. The severity of PHG was directly proportional to the grading of liver function. During the follow-up period, 76 cases (71.7%) had upper gastrointestinal bleeding. Conclusion PHG in portal hypertension in upper gastrointestinal bleeding accounted for a large proportion of patients with cirrhosis of the upper gastrointestinal bleeding should be identified esophageal varices or PHG